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Last Modified: 9/30/2018 Location: FL, PR, USVI Business: Part B

Administrative Simplification Compliance Act (ASCA) enforcement

Enforcement of the ASCA mandatory electronic claim submission requirement is conducted on a post-payment basis. A provider whose paper claim submission practice is being reviewed to verify one or more of the exception criteria are met for continued submission of paper claims will receive a letter. Please review the letter carefully and take appropriate action timely.
If you intend to respond to the letter, send your response indicating which of the exception criteria is your basis for continued submission of paper claims, along with supporting information to:
Medicare EDI
Attention ASCA
P. O. Box 44071
Jacksonville FL 32231-4071
If you determine you do not qualify for continued paper claims submission and currently submit claims electronically, start planning your transition to electronic claims submission. Not sure where to start? Click link to “A step-by-step guide to getting started submitting electronic claims.”
Additional information regarding the Administrative Simplification Compliance Act can be found at: https://www.cms.gov/Medicare/Billing/ElectronicBillingEDITrans/index.html external link.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.